Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-223030 Bearss Ave, Tampa, FL 33618
(813) 968-8777 · Sovereign Healthcare Holdings
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 95.8% | Latest inspection | 2024-05-22 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 38.0 points | 56.5 points | 38.5 points |
| Total nurse staffing | 3.61 hours/day | 3.61 hours/day | 3.63 hours/day |
| RN staffing | 0.48 hours/day | 0.61 hours/day | 0.62 hours/day |
| Staff turnover | 41.8% | 43.7% | 41.8% |
| Latest health deficiencies | 6 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-22Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-06-22Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-06-22Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-22Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-22Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-22Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-04-10Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-04-10Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-04-10Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-10Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-10Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-10Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-10Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-04-10Immediate-jeopardy citations: 0
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-01-22Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.105 |
| Lpn hours | 1.02529 |
| Rn hours | 0.48275 |
| Reported total hours | 3.61304 |
| Weekend total hours | 3.20624 |
| Weekend rn hours | 0.43746 |
| Adjusted total hours | 3.74526 |
| Total turnover percent | 41.8 |
| Rn turnover percent | 50 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| SOVEREIGN HEALTHCARE HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| CRONQUIST 2015 FAMILY TR | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| JOHN J NOTERMANN BUSINESS TR | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MANGINE, JOHN | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| 3030 CARROLLWOOD, LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| HEALTH SERVICES PROPERTIES LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| ORIX REAL ESTATE CAPITAL LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CHERY, DAWN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| KAAR, SUSAN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LANDY, FREDERICK | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MANGINE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCCOY, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RIBIC, KLEMEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| 3030 CARROLLWOOD, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FORVIS MAZARS LLP | ADP OF THE SNF | NOT APPLICABLE |
| HEALTH SERVICES PROPERTIES LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | ADP OF THE SNF | NOT APPLICABLE |
| CHERY, DAWN | ADP OF THE SNF | NOT APPLICABLE |
| CRONQUIST, ROYCE | ADP OF THE SNF | NOT APPLICABLE |
| KAAR, SUSAN | ADP OF THE SNF | NOT APPLICABLE |
| KELLY, MICHELLE | ADP OF THE SNF | NOT APPLICABLE |
| LANDY, FREDERICK | ADP OF THE SNF | NOT APPLICABLE |
| MANGINE, JOHN | ADP OF THE SNF | NOT APPLICABLE |
| MCCOY, BRIAN | ADP OF THE SNF | NOT APPLICABLE |
| MELTON, DONALD | ADP OF THE SNF | NOT APPLICABLE |
| NOTERMANN, WILLIAM | ADP OF THE SNF | NOT APPLICABLE |
| RIBIC, KLEMEN | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology